Organization Active NPI

Envision Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Lancaster, CA
National Provider Identifier
1467786889
Registry record updated Oct 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
ENVISION SURGERY CENTER LLC
Practice address
42442 10TH St W
Suite G
Lancaster, CA 93534-7067
Phone
(661) 948-4373
NPI assigned
Oct 1, 2009
Last updated
Oct 1, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ira Elliot Opatowsky, M.D.NPI 1659374445
Title
Managing Partner
Phone
(661) 948-4373

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary

Addresses

Primary practice location

42442 10TH St W
Suite G
Lancaster, CA 93534-7067

Mailing address

42442 10TH St W
Suite G
Lancaster, CA 93534-7067
Phone (661) 948-4373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100521000652 CA Part B Supplier - Ambulatory Surgical Center 1153450606 Practice locations: Lancaster, CA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Envision Surgery Center LLCCCN 05C0001928
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2005044Envision Surgery Center, LLC42442 10TH Avenue West Suite G, Lancaster, CA 93534Certificate of waiverMar 17, 2028

National Provider Directory

National Provider Directory

Locations

42442 10th St W
Lancaster, CA 93534
Phone (661) 726-5329

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254355200000",
    "number": "1467786889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42442 10TH ST W",
            "address_2": "SUITE G",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935347067",
            "telephone_number": "661-948-4373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42442 10TH ST W",
            "address_2": "SUITE G",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935347067",
            "telephone_number": "661-948-4373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-01",
        "last_updated": "2009-10-01",
        "status": "A",
        "authorized_official_last_name": "OPATOWSKY",
        "authorized_official_first_name": "IRA",
        "authorized_official_middle_name": "ELLIOT",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "661-948-4373",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.